Provider Demographics
NPI:1285834937
Name:WILLIAMS, TROY NONE (M D)
Entity Type:Individual
Prefix:DR
First Name:TROY
Middle Name:NONE
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:M D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13128 N 94TH DR STE 200
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85381-4253
Mailing Address - Country:US
Mailing Address - Phone:623-815-9714
Mailing Address - Fax:623-815-9759
Practice Address - Street 1:13128 N 94TH DR STE 200
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85381-4253
Practice Address - Country:US
Practice Address - Phone:623-815-9714
Practice Address - Fax:623-815-9759
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-20
Last Update Date:2007-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ8327207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine